110例泌尿外科危重症患者尿路感染病原学及耐药性分析

发布时间：2018-11-20 17:58

【摘要】：目的分析研究泌尿外科危重症患者尿路感染病原学及耐药性情况,为尿路感染的预防和治疗提供参考依据。方法选取2015年1月-2016年1月医院收治的110例泌尿外科危重症且伴有尿路感染患者为研究对象,对其病原菌分布及其耐药性进行分析。结果 110例泌尿外科危重症且伴有尿路感染患者共检出104株病原菌,其中革兰阴性菌65株占62.50%,革兰阳性菌37株占35.58%,真菌2株占1.92%;大肠埃希菌、肺炎克雷伯菌及铜绿假单胞菌对头孢呋辛、氨苄西林及氨苄西林/舒巴坦的耐药率均80.0%,对头孢噻肟较敏感,耐药率30.0%;粪肠球菌、表皮葡萄球菌及屎肠球菌对四环素、头孢西丁及克林霉素的耐药率均70.00%,对左氧氟沙星较敏感,耐药率25.00%。结论 110例泌尿外科危重症患者尿路感染以革兰阴性菌为主,且不同病原菌的耐药性存在显著性差异,应根据其特点给予针对性干预。
[Abstract]:Objective to study the etiology and drug resistance of urinary tract infection in critically ill patients in urology, and to provide reference for the prevention and treatment of urinary tract infection. Methods from January 2015 to January 2016, 110 critically ill patients with urinary tract infection were selected to analyze the distribution of pathogenic bacteria and their drug resistance. Results 104 strains of pathogenic bacteria were detected in 110 patients with urinary tract infection. 65 strains of Gram-negative bacteria accounted for 62.50 strains, 37 strains of Gram-positive bacteria accounted for 35.58% and 2 strains of fungi accounted for 1.92%. Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa were resistant to cefuroxime, ampicillin and ampicillin / sulbactam. The resistance rates of Enterococcus faecalis, Staphylococcus epidermidis and Enterococcus faecium to tetracycline, cefoxitin and clindamycin were 70.000.The resistance rate to levofloxacin was 25.00. Conclusion Gram-negative bacteria are the main type of urinary tract infection in 110 critically ill patients with urology, and there are significant differences in drug resistance of different pathogens, so intervention should be given according to their characteristics.
【作者单位】：郑州大学附属郑州中心医院泌尿外科二病区;郑州大学附属郑州中心医院急诊重症监护室;
【分类号】：R691.3

【相似文献】